The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cocoa and Florida

10 active clinicians are listed under Massage Therapist with a practice address in Cocoa, FL (6,948 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-13

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES FL MA68223

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location November 14, 2020

Registered at 4238 DEVOE AVE, COCOA, FL 329274752 (Tel: 3215078985)

📍

Updated Business Mailing Address November 14, 2020

Registered at 4238 DEVOE AVE, COCOA, FL 329274752 (Tel: 3215078985)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2020

Massage Therapist (license number reported to NPPES: FL MA68223)

✅

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 15, 2012

Registered at 3206 S HOPKINS AVE STE 19, TITUSVILLE, FL 327805667 (Tel: 3212670188)

📍

Business Mailing Address (Initial Record) June 15, 2012

Registered at 3206 S HOPKINS AVE STE 19, TITUSVILLE, FL 327805667 (Tel: 3212670188)

👤

Provider Name / Credentials (Initial Record) June 15, 2012

Recorded as REGINALD MITCHELL, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Specialist/Technologist, Other (license number reported to NPPES: FL MA68223)

🟢

Initial NPI Registration & Enumeration June 15, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659633527

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2012

Last Update: November 14, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4238 Devoe Ave

Cocoa, FL 329274752

Phone: 3215078985

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.